Homozygous CALR Mutation in Primary Myelofibrosis and Its Effect on Disease Phenotype: A Case Report and Review of the Literature

Somatic mutations in CALR gene have been reported in 60%–88% of patients with essential thrombocythemia (ET) and primary myelofibrosis (PMF) who are negative for JAK2 and MPL mutations. Most of the CALR mutations analyzed to date are heterozygous mutations in exon 9 of the gene. Homozygosity in CALR...

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Main Authors: Qurratulain Rizvi, Uzma Zaidi, Saba Shahid, Shariq Ahmed, Tahir Shamsi
Format: Article
Language:English
Published: Wiley 2019-01-01
Series:Case Reports in Hematology
Online Access:http://dx.doi.org/10.1155/2019/1430170
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author Qurratulain Rizvi
Uzma Zaidi
Saba Shahid
Shariq Ahmed
Tahir Shamsi
author_facet Qurratulain Rizvi
Uzma Zaidi
Saba Shahid
Shariq Ahmed
Tahir Shamsi
author_sort Qurratulain Rizvi
collection DOAJ
description Somatic mutations in CALR gene have been reported in 60%–88% of patients with essential thrombocythemia (ET) and primary myelofibrosis (PMF) who are negative for JAK2 and MPL mutations. Most of the CALR mutations analyzed to date are heterozygous mutations in exon 9 of the gene. Homozygosity in CALR gene is rarely reported, and its association with clinical behavior of disease and impact on outcome of patients is not studied so far. We herein report a case of intermediate-2 risk PMF (according to IPSS) diagnosed with homozygous mutation (c.1139delA p.E380fs∗50) in CALR gene having severe disease manifestations at presentation.
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institution Kabale University
issn 2090-6560
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language English
publishDate 2019-01-01
publisher Wiley
record_format Article
series Case Reports in Hematology
spelling doaj-art-bc5c7038d3cd4c018025ecbd0e3b07972025-02-03T07:24:28ZengWileyCase Reports in Hematology2090-65602090-65792019-01-01201910.1155/2019/14301701430170Homozygous CALR Mutation in Primary Myelofibrosis and Its Effect on Disease Phenotype: A Case Report and Review of the LiteratureQurratulain Rizvi0Uzma Zaidi1Saba Shahid2Shariq Ahmed3Tahir Shamsi4Department of Clinical Haematology, National Institute of Blood Diseases & Bone Marrow Transplantation, P.O. Box-75300, Karachi, PakistanDepartment of Clinical Haematology, National Institute of Blood Diseases & Bone Marrow Transplantation, P.O. Box-75300, Karachi, PakistanDepartment of Genomics, National Institute of Blood Diseases & Bone Marrow Transplantation, P.O. Box-75300, Karachi, PakistanDepartment of Genomics, National Institute of Blood Diseases & Bone Marrow Transplantation, P.O. Box-75300, Karachi, PakistanDepartment of Clinical Haematology, National Institute of Blood Diseases & Bone Marrow Transplantation, P.O. Box-75300, Karachi, PakistanSomatic mutations in CALR gene have been reported in 60%–88% of patients with essential thrombocythemia (ET) and primary myelofibrosis (PMF) who are negative for JAK2 and MPL mutations. Most of the CALR mutations analyzed to date are heterozygous mutations in exon 9 of the gene. Homozygosity in CALR gene is rarely reported, and its association with clinical behavior of disease and impact on outcome of patients is not studied so far. We herein report a case of intermediate-2 risk PMF (according to IPSS) diagnosed with homozygous mutation (c.1139delA p.E380fs∗50) in CALR gene having severe disease manifestations at presentation.http://dx.doi.org/10.1155/2019/1430170
spellingShingle Qurratulain Rizvi
Uzma Zaidi
Saba Shahid
Shariq Ahmed
Tahir Shamsi
Homozygous CALR Mutation in Primary Myelofibrosis and Its Effect on Disease Phenotype: A Case Report and Review of the Literature
Case Reports in Hematology
title Homozygous CALR Mutation in Primary Myelofibrosis and Its Effect on Disease Phenotype: A Case Report and Review of the Literature
title_full Homozygous CALR Mutation in Primary Myelofibrosis and Its Effect on Disease Phenotype: A Case Report and Review of the Literature
title_fullStr Homozygous CALR Mutation in Primary Myelofibrosis and Its Effect on Disease Phenotype: A Case Report and Review of the Literature
title_full_unstemmed Homozygous CALR Mutation in Primary Myelofibrosis and Its Effect on Disease Phenotype: A Case Report and Review of the Literature
title_short Homozygous CALR Mutation in Primary Myelofibrosis and Its Effect on Disease Phenotype: A Case Report and Review of the Literature
title_sort homozygous calr mutation in primary myelofibrosis and its effect on disease phenotype a case report and review of the literature
url http://dx.doi.org/10.1155/2019/1430170
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